NPI | 1225652159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 119153) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 119153) |
Enumeration Date | 2020-06-06 |
Last Update Date | 2023-11-13 |